Oklahoma Administrative Code
Title 317 - Oklahoma Health Care Authority
Chapter 30 - Medical Providers-Fee for Service
Subchapter 5 - Individual Providers and Specialties
Part 3 - HOSPITALS
Section 317:30-5-42.7 - Emergency department (ED) care/services
Universal Citation: OK Admin Code 317:30-5-42.7
Current through Vol. 42, No. 1, September 16, 2024
Emergency department care must:
(1) Be provided in a hospital with a designated emergency department; and
(2) Provide direct patient care, including patient assessment, monitoring, and treatment by hospital medical personnel such as physicians, nurses, or lab and x-ray technicians.
(A) Medical records must document the
emergency diagnosis and the extent of direct patient care.
(B) Emergency department care does not
include unattended waiting time.
(C) Emergency services are covered for a
medical emergency. This means a medical condition manifesting itself by acute
symptoms of sufficient severity (including severe pain) such that a prudent
layperson, who possesses an average knowledge of health and medicine, could
reasonably expect the absence of immediate medical attention to result in:
(i) Placing the physical or mental health of
the individual (or, with respect to a pregnant woman, the health of the woman
or her unborn child) in serious jeopardy; or continuation of severe
pain;
(ii) serious impairment to
bodily functions; serious dysfunction of any bodily organ or part; or
death.
(D) Labor and
delivery is a medical emergency, if it meets this definition.
(3) Prescheduled services are not considered an emergency.
(4) Services provided as follow-up to initial emergency care are not considered emergency services.
(5) Include provision of emergency opioid antagonist upon discharge as per state law.
Disclaimer: These regulations may not be the most recent version. Oklahoma may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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